Bone formation is impaired in a model of type 1 diabetes

Kathryn M Thrailkill1, Lichu Liu, Elizabeth C Wahl

  • 1Department of Pediatrics, University of Arkansas for Medical Sciences, Little Rock, AR, USA. thrailkillkathrynm@uams.edu

Diabetes
|September 28, 2005
PubMed

Insights

Type 1 diabetes impairs new bone formation during distraction osteogenesis (DO) and reduces bone quality. Insulin treatment preserved bone formation and quality in diabetic mice.

Area of Science:

  • Orthopedics
  • Endocrinology
  • Diabetology

Background:

  • Type 1 diabetes (T1D) affects bone metabolism.
  • Distraction osteogenesis (DO) is a surgical technique for bone lengthening.
  • The impact of T1D on DO is not fully understood.

Purpose of the Study:

  • To investigate the effects of T1D on de novo bone formation during tibial DO.
  • To assess the impact of T1D on intact trabecular and cortical bone.
  • To determine if insulin treatment can mitigate these effects.

Main Methods:

  • Nonobese diabetic (NOD) mice and age-matched nondiabetic NOD mice were used.
  • Diabetic mice underwent a 14-day tibial DO procedure with insulin, vehicle, or no treatment.
  • Bone formation was analyzed using radiography, histology, and microcomputed tomography (microCT).
  • Contralateral tibiae were analyzed using microCT and mechanical testing.
  • Serum markers of bone turnover were measured.

Main Results:

  • Diabetic mice showed reduced new bone formation in the DO gap (histology & radiography) compared to nondiabetic mice.
  • Insulin treatment preserved new bone formation and normalized osteocalcin levels in diabetic mice.
  • MicroCT and mechanical testing revealed reduced trabecular and cortical bone quality in diabetic mice.
  • Insulin treatment prevented the decline in bone quality in diabetic mice.

Conclusions:

  • Type 1 diabetes significantly impairs de novo bone formation during distraction osteogenesis.
  • Type 1 diabetes negatively affects both trabecular and cortical bone quality.
  • Systemic insulin administration can preserve bone formation and quality in the context of type 1 diabetes and DO.

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